Subtotal gastrectomy for gastric tube cancer after esophagectomy: A safe procedure preserving the proximal part of gastric tube based on intraoperative ICG blood flow evaluation
Identifieur interne : 004664 ( Main/Exploration ); précédent : 004663; suivant : 004665Subtotal gastrectomy for gastric tube cancer after esophagectomy: A safe procedure preserving the proximal part of gastric tube based on intraoperative ICG blood flow evaluation
Auteurs : Takuro Saito [Japon] ; Masahiko Yano [Japon] ; Masaaki Motoori [Japon] ; Kentaro Kishi [Japon] ; Yoshiyuki Fujiwara [Japon] ; Tatsushi Shingai [Japon] ; Shingo Noura [Japon] ; Masayuki Ohue [Japon] ; Hiroaki Ohigashi [Japon] ; Osamu Ishikawa [Japon]Source :
- Journal of Surgical Oncology [ 0022-4790 ] ; 2012-07-01.
Abstract
Recent improvements in the survival of patients after esophagectomy have led to an increase in the occurrence of gastric tube cancer (GTC). Total resection of the gastric tube with lymphadenectomy is a standard and reliable treatment for GTC, but problems may arise during or after surgery, such as laryngeal nerve injury, reduced selection of organs for reconstruction, and impaired swallowing function. We recently performed a less invasive procedure, subtotal gastrectomy with preservation of the upper region of the gastric tube, in two patients. In these patients, blood supply to the gastric tube was evaluated by indocyanine green fluorescence imaging. Blood flow was confirmed as passing from the remnant esophagus to the upper region of the gastric tube through the esophago‐gastric anastomotic site by indocyanine green fluorescence imaging. Therefore, we resected the gastric tube while preserving the upper region of the gastric tube. There was no necrosis of the remnant gastric tube or anastomotic leakage postoperatively, and postoperative swallowing and eating functions were quite good in both patients. In summary, subtotal gastrectomy as a treatment for GTC is potentially safe, curative, and beneficial for the patient's quality of life. J. Surg. Oncol. 2012; 106:107–110. © 2012 Wiley Periodicals, Inc.
Url:
DOI: 10.1002/jso.23050
Affiliations:
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Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Kishi, Kentaro" sort="Kishi, Kentaro" uniqKey="Kishi K" first="Kentaro" last="Kishi">Kentaro Kishi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Fujiwara, Yoshiyuki" sort="Fujiwara, Yoshiyuki" uniqKey="Fujiwara Y" first="Yoshiyuki" last="Fujiwara">Yoshiyuki Fujiwara</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Shingai, Tatsushi" sort="Shingai, Tatsushi" uniqKey="Shingai T" first="Tatsushi" last="Shingai">Tatsushi Shingai</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Noura, Shingo" sort="Noura, Shingo" uniqKey="Noura S" first="Shingo" last="Noura">Shingo Noura</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Ohue, Masayuki" sort="Ohue, Masayuki" uniqKey="Ohue M" first="Masayuki" last="Ohue">Masayuki Ohue</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Surgery, Osaka Medical Center for Cancer and 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Oncology</title><title level="j" type="alt">JOURNAL OF SURGICAL ONCOLOGY</title><idno type="ISSN">0022-4790</idno><idno type="eISSN">1096-9098</idno><imprint><biblScope unit="vol">106</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="107">107</biblScope><biblScope unit="page" to="110">110</biblScope><biblScope unit="page-count">4</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-07-01">2012-07-01</date></imprint><idno type="ISSN">0022-4790</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-4790</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recent improvements in the survival of patients after esophagectomy have led to an increase in the occurrence of gastric tube cancer (GTC). Total resection of the gastric tube with lymphadenectomy is a standard and reliable treatment for GTC, but problems may arise during or after surgery, such as laryngeal nerve injury, reduced selection of organs for reconstruction, and impaired swallowing function. We recently performed a less invasive procedure, subtotal gastrectomy with preservation of the upper region of the gastric tube, in two patients. In these patients, blood supply to the gastric tube was evaluated by indocyanine green fluorescence imaging. Blood flow was confirmed as passing from the remnant esophagus to the upper region of the gastric tube through the esophago‐gastric anastomotic site by indocyanine green fluorescence imaging. Therefore, we resected the gastric tube while preserving the upper region of the gastric tube. There was no necrosis of the remnant gastric tube or anastomotic leakage postoperatively, and postoperative swallowing and eating functions were quite good in both patients. In summary, subtotal gastrectomy as a treatment for GTC is potentially safe, curative, and beneficial for the patient's quality of life. J. Surg. Oncol. 2012; 106:107–110. © 2012 Wiley Periodicals, Inc.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Saito, Takuro" sort="Saito, Takuro" uniqKey="Saito T" first="Takuro" last="Saito">Takuro Saito</name></noRegion><name sortKey="Fujiwara, Yoshiyuki" sort="Fujiwara, Yoshiyuki" uniqKey="Fujiwara Y" first="Yoshiyuki" last="Fujiwara">Yoshiyuki Fujiwara</name><name sortKey="Ishikawa, Osamu" sort="Ishikawa, Osamu" uniqKey="Ishikawa O" first="Osamu" last="Ishikawa">Osamu Ishikawa</name><name sortKey="Kishi, Kentaro" sort="Kishi, Kentaro" uniqKey="Kishi K" first="Kentaro" last="Kishi">Kentaro Kishi</name><name sortKey="Motoori, Masaaki" sort="Motoori, Masaaki" uniqKey="Motoori M" first="Masaaki" last="Motoori">Masaaki Motoori</name><name sortKey="Noura, Shingo" sort="Noura, Shingo" uniqKey="Noura S" first="Shingo" last="Noura">Shingo Noura</name><name sortKey="Ohigashi, Hiroaki" sort="Ohigashi, Hiroaki" uniqKey="Ohigashi H" first="Hiroaki" last="Ohigashi">Hiroaki Ohigashi</name><name sortKey="Ohue, Masayuki" sort="Ohue, Masayuki" uniqKey="Ohue M" first="Masayuki" last="Ohue">Masayuki Ohue</name><name sortKey="Shingai, Tatsushi" sort="Shingai, Tatsushi" uniqKey="Shingai T" first="Tatsushi" last="Shingai">Tatsushi Shingai</name><name sortKey="Yano, Masahiko" sort="Yano, Masahiko" uniqKey="Yano M" first="Masahiko" last="Yano">Masahiko Yano</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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